Saleh Saad Al-Kharsa, D.M.D, M.S

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

021.002760 Issued in IL

Practice address

504 Waverly Dr
Elgin, IL 60120-4082

Phone

(847) 214-8888

NPI assigned

Jul 7, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1386096907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E WACKER DR APT 1811",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606015284",
            "telephone_number": "857-756-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 WAVERLY DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204082",
            "telephone_number": "847-214-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-KHARSA",
        "first_name": "SALEH",
        "middle_name": "SAAD",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-07",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.030641",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": "021.002760",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CT",
            "license": "2.011249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nooruzsabha Seema Ahmed, M.D.
• Warda Ahmed
• Airlte Dental of Elgin
• Lorene Serhan Akroush
• Akuou Healthcare Services LLC
• Humaira Alam
• Yasham Sharaf Alam, O.D.
• Sherrylyn R. Alamares
• Alan D Arps PC
• Alan M. Polse D.D.S. & Associates, LTD.

• Orthodontics and Dentofacial Orthopedics Dentistry in Elgin, IL
• Providers in Elgin, IL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.